Key Points:

• Acute withdrawal is the most intense phase, occurring soon after cessation.

• PAWS involves longer-lasting symptoms that can hinder recovery.

• Understanding these stages helps in preparing for and managing the withdrawal process.

Opioid withdrawal typically occurs in two main stages, each characterized by different symptoms and levels of severity.

• Acute Withdrawal:

  • This stage starts within hours of the last dose and lasts for about a week.

  • Symptoms are most intense during the first 72 hours and include muscle aches, anxiety, sweating, and gastrointestinal distress.

• Post-Acute Withdrawal Syndrome (PAWS):

  • This stage can last for weeks to months after the acute phase.

  • Symptoms include mood swings, anxiety, sleep disturbances, and a general sense of unease.

  • PAWS can make long-term recovery challenging and may require ongoing support and treatment.